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just got my resmed S9 VPAP auto today, looking for setup advice
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space45 Offline

Preferred Members

Posts: 68
Joined: Mar 2014

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Quattro FX
Humidifier: H5i Heated Humidifier
CPAP Pressure: hope to find out soon
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: B.C. Canada

Post: #11
RE: just got my resmed S9 VPAP auto today, looking for setup advice
well last night was the best night so far AHI of 2.3

how does one edit the daily data to get rid of bad data? some times it take some time to go to sleep and I have some bad data at the start, not so much at the end.
I am feeling better, got more getup and go.
funny I have clusters of evens at the beginning when I am still awake.
my min O2 level last night was 79%, nice to be up from lows around 47% to 56%, raised my PS level from 4 to 6, may raise it some more to say 7, want to get my min o2 levels to 88% if possible
also raised my max IPAP back up to 25 and the min EPAP to 10
my CA was only 0.5 max CA was 15 seconds, most were 10.

thanks for the help
Stan
03-31-2014 08:28 PM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #12
RE: just got my resmed S9 VPAP auto today, looking for setup advice
(03-31-2014 08:28 PM)space45 Wrote:  raised my PS level from 4 to 6, may raise it some more to say 7, want to get my min o2 levels to 88% if possible
also raised my max IPAP back up to 25 and the min EPAP to 10
my CA was only 0.5 max CA was 15 seconds, most were 10.

Hi Stan,

I suggest holding off on further adjustments for a week.

Raising the PS will increase the average SpO2, but probably will not increase the minimum SpO2 during deep dips, and it is important not to set PS too high.

Since your central events are short, your deep dips in SpO2 may be from obstructve apneas, during which PS probably completely stops. Because PS is synchronized to your breathing, if you stop breathing, PS also stops. I suggest using ResScan or SleepyHead to look at the Flow waveform and the High Rate Pressure waveform to see what is happening during the deep dips in SpO2.

It is primarily the EPAP pressure which needs to be high enough to prevent obstructive apneas and the deep desaturations. Your machine will automatically raise the EPAP pressure when needed.

Often, staying off one's back while asleep is very important for avoiding obstructive events.

The PS should not be so high that your SpO2 stays higher than about 94% to 96%. When O2 is too high it can cause too much oxidation in the blood, too many free radicals, can render prescription medications ineffective and lead to ill health. This is definitely a case of "too much of a good thing can kill you."

Too much PS can also increase centrals, but if your CAI is 0.5/hr and all your central events are short, that does not seem to be an issue in your case.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-01-2014 03:40 AM by vsheline.)
04-01-2014 03:37 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #13
RE: just got my resmed S9 VPAP auto today, looking for setup advice
(03-31-2014 08:28 PM)space45 Wrote:  well last night was the best night so far AHI of 2.3

how does one edit the daily data to get rid of bad data? some times it take some time to go to sleep and I have some bad data at the start, not so much at the end.
I am feeling better, got more getup and go.
funny I have clusters of evens at the beginning when I am still awake.
my min O2 level last night was 79%, nice to be up from lows around 47% to 56%, raised my PS level from 4 to 6, may raise it some more to say 7, want to get my min o2 levels to 88% if possible
also raised my max IPAP back up to 25 and the min EPAP to 10
my CA was only 0.5 max CA was 15 seconds, most were 10.

thanks for the help
Stan
I don't know that you can edit the data to get rid of "bad data." What's there is there. Really there's no such thing as bad data. They just are what they are.

I wouldn't mess with your settings much right now. Roll with them for a few days and see what happens.
04-01-2014 07:36 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #14
RE: just got my resmed S9 VPAP auto today, looking for setup advice
Hi space45,
It's good to hear that you got your new machine.
I would leave the settings alone for at least a week so you can see the trends in your data. One night does not a trend make, so don't mess with the settings for at least a week.
Good luck to you with your CPAP therapy

trish6hundred
04-01-2014 08:01 PM
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vstormes Offline

New Members

Posts: 2
Joined: Apr 2014

Machine: RESMED S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: NONE
CPAP Pressure: 25/14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #15
RE: just got my resmed S9 VPAP auto today, looking for setup advice
Hello! I need help with my new Resmed S9 VPAP Auto. I have used it two nights now and love it, but I want to make a change to the settings.

I want the unit to turn on and off automatically when I put on and take off my mask and headgear. My old unit did that and I really like that feature.

I cannot find out how to get into the menu so I can make that change. Does anyone know how to do this? I am sure it is quite simple but I don't know they key(s) to push to enter the correct menu.

Thanks for the info.

Vince
04-12-2014 10:29 AM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #16
RE: just got my resmed S9 VPAP auto today, looking for setup advice
(04-12-2014 10:29 AM)vstormes Wrote:  I want the unit to turn on and off automatically when I put on and take off my mask and headgear. My old unit did that and I really like that feature.

I cannot find out how to get into the menu so I can make that change. Does anyone know how to do this? I am sure it is quite simple but I don't know they key(s) to push to enter the correct menu.

Hi Vince, welcome to the forum!

The clinician guide/manual for your machine can be obtained by email request from here:

http://www.apneaboard.com/forums/Thread-...P-Pressure

To enter the clinician setup mode, one should press and hold down two buttons at the same time, for about 4 seconds. Push at the same time and hold both the rectangular button with two check marks on it and the round knob, until the LCD shows you are in.

When in the clinician setup mode (as explained above), turn the knob to navigate to the OPTIONS submenu, and push the knob to enter the OPTIONS submenu.

When in the OPTIONS submenu, turn the knob to highlight SmartStart, and push the knob to enter adjustment mode, then turn the knob to select "On" or "Off", then push the knob to put into effect your choice.

Then turn the knob to highlight "Home" and push the knob to exit the clinician setup mode and return to the home screen.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
04-12-2014 01:21 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #17
RE: just got my resmed S9 VPAP auto today, looking for setup advice
Hi vstormes,
WELCOME! to the forum.!
It's great to hear that you're happy with your new machine.

trish6hundred
04-12-2014 04:11 PM
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vstormes Offline

New Members

Posts: 2
Joined: Apr 2014

Machine: RESMED S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: NONE
CPAP Pressure: 25/14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #18
RE: just got my resmed S9 VPAP auto today, looking for setup advice
Thanks for the help and the welcome!!!
04-13-2014 09:26 AM
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